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Organization
SONNE FAMILY DENTAL, P.C.
Active
Organization
SONNE FAMILY DENTAL, P.C.
Active
Parent organization
2901010486
Organization subpart
Yes
Provider details
NPI number
Legal business name
2901010486
Authorized official
MS. KELLY M PUSKARICH (BUSINESS ASST.)
(734) 671-8414
Entity
Organization
Contact information
Practice address
1550 KINGSWAY CT, TRENTON, MI 48183-1923
(734) 671-8414
(734) 671-8234
Mailing address
1550 KINGSWAY CT, TRENTON, MI 48183-1923
(734) 671-8414
(734) 671-8234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010486
MI
1223G0001X
General Practice Dentistry
2901017885
MI
1223P0300X
Periodontics
2901019162
MI
Other
Enumeration date
08/11/2009
Last updated
11/02/2016
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